Organization
DENNIS BRUDER ODPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS BRUDER OD (OPTOMETRIST)
(908) 352-2186
Entity
Organization
Contact information
Practice address
9 BROAD ST, ELIZABETH, NJ 07201-2215
(908) 352-2186
(908) 351-1230
Mailing address
9 BROAD ST, ELIZABETH, NJ 07201-2215
(908) 352-2186
(908) 351-1230
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00355500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7081201
—
NJ
Enumeration date
04/22/2007
Last updated
08/22/2020
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